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Minnesota rates for HCPCS 64421

Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.84 / $32.90 / $2,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $79.81 / $222.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.08 / $1,838.24 / $3,239.20
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,078.36 / $3,153.33 / $5,529.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.21 / $77.68 / $117.31
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$67.70 / $111.59 / $175.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.50 / $117.05 / $281.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.43 / $84.20 / $141.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $107.02 / $221.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.27 / $76.34 / $128.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.90 / $63.62 / $431.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.71 / $126.25 / $323.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.51 / $101.77 / $271.10